Hi Girls!
Well, we survived our first fertility specialist appointment - 2 hours! I was not super psyched to be there at first - it just felt invasive or like a bit of a bummer but by the end I was glad we did it. The doctor was super cool - my first time having a male doctor conduct a pelvic, as well as my first time having my man with me while feet were in stirrups - I guess that's par for the course if we do get pregnant though! Doctor was very confident about our ability to get pregnant. Looked at prior testing and dh's sperm analysis for background information. Today conducted a transvaginal ultrasound that did not demonstrate any evidence of PCOS (I wasn't really worried about this) or fibroids (my mom had these so I was glad I don't).
Here's the game plan:
1. Take 50mg of Clomid CD 5-9. I filled the prescription and happen to be CD 5 today - we are debating whether to go for it starting tonight or let it all sink in - ahhhh - decisions!
2. HSG - as soon as this Friday or else next month between CD 5-12.
3. Bloodwork for all sorts of stuff - the standard workup (thyroid, hormones, genetic stuff), same day as HSG.
4. Bloodword for DH (ditto above) and another more recent more sophisticated SA for DH that will give us a better idea of motility (he had a vasectomy reversed - great count with lower motility).
5. Assuming all systems go, move to IUI with Clomid if it works well for me, or with injectibles if Clomid isn't doing the trick.
6. Keep charting and DTD EOD when fertile. Doctor is super supportive of OPK's and pretty supportive of temping, etc. if you are experienced and know how to read the signs. Nurse was super into OPK's as well as preseed. Doctor was more enthusiastic about BD EOD rather than every day during fertile cycle to let sperm count stay high but allow for good motility.
About 5 years ago I was eating too little and exercising too much and doctor thinks much of my somewhat extended ovulation and wacky cycles is directly attributable to that period of time where I didn't ovulate for a year, and had irregular cycles for several years during the height of my exercising phase. He does think I'm recovering nicely from that and initial testing seems to indicate a good egg supply. DH also has motility issues, so he thinks IUI would be quite helpful for that.
This was basically what I expected, but now that question for us is how quickly and aggressively to move forward. Our tentative plan is to go ahead and start Clomid today and do day 21 bloodwork this cycle to see if that works on me the way it's designed to. Doctor said with women with my history, sometimes injectibles are better. Then in April to do HSG and other testing (extended bloodwork, DH's SA), and then move to IUI in late May or June after our big trip back to France and to Spain. I also think that my plans for a spring ramp up on exercise and toning may need to be put on hold - concern is that any weight loss or significant exercise increase could scare off my eggs again. I'm in the very high end of my "happy place" weight-wise (smack dab in the middle for BMI purposes), but apparently my body likes it best here and obviously that's what best for my body if its where I ovulate regularly.
So...what to do what to do...any opinions on Clomid? Any other thoughts, feedback or advice would be welcomed!